All that glisters … a generalised seizure at 31 weeks

Abstract

Figure 2. Computed tomogram of brain showing multiple tumours in both cerebral hemispheres with mass effect causing shift of the midline structures. Obstetric case reports 175 J Obstet Gynaecol Downloaded from informahealthcare.com by Universitat de Girona on 12/15/14 For personal use only.

Lung cancer in the pregnant woman: To treat or not to treat, that is the question

“…Two patients elected to go for abortion [15,24] while spontaneous abortion was not reported in any case. The gestational age at delivery was reported in 34/43 with a median of 32 weeks (range: [27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42]. Post-partum maternal outcome was known in 37 patients, in which 28 were known to be dead within 1 year after delivery.…”

“…Diagnostic delay is often (median gestational age at diagnosis is 27 weeks) due to the reluctance in performing radiological investigations from one side and the non-specific nature of the early symptoms of the disease from another. This is demonstrated in the patients earlier discussed in whom the majority presented with advanced manifestations including hemoptysis [36], brain metastases [29,31,32,42] and Horner syndrome secondary to local invasion of the sympathetic plexus [37].…”

Anaesthesia for caesarean section in a woman with lung cancer: case report and review

“…Anaesthetic technique for caesarean section was documented in only five cases. 7,9,10,23,30 Only one of these five patients presented mediastinal involvement with severe compression of the airway, heart and great vessels; she received uneventful spinal anaesthesia. 23 Three of the remaining patients received epidural anaesthesia, the other general anaesthesia.…”

“…We searched MEDLINE Ò for similar cases and found an additional 17 reports (Table 2) of which half have been reported in the new millennium. [19][20][21][22][23][24][25][26][27][28][29][30][31][32] This is concerning as lung cancer has become one of the leading causes of female cancer deaths. 34 Furthermore, approximately 30% of women of reproductive age (15-45 years) now smoke 35 with 11% continuing to smoke during pregnancy.…”